[Locking plate fixation of distal periprosthetic femoral fractures : Clinical outcome and mortality].

Der Unfallchirurg
C GassnerJ Fürmetz

Abstract

The care of distal periprosthetic femoral fractures (PFF) is becoming a major interdisciplinary challenge due to demographic developments. The operative treatment is often performed (depending on the type of fracture) by means of locking plate fixation (LPF), although little data on the clinical outcome exist by now. The aim of the study is to identify risk factors for a poor outcome and increased mortality METHODS: In this retrospective study, 36 cases with distal PFF were examined. Exclusively treatment with LPF were included. Relevant previous illnesses (ASA score, Charlson index), fracture morphology and major complications were recorded as well as 1- and 3- year mortality. The clinical outcome was detected by using the Lysholm score. The 1- and 3- year mortality were 9% and 26% - exclusively affecting ASA 3 and 4 patients. The Lysholm Score showed a high variability (65 ± 27 points) with higher values in the ASA 1-2 subgroup (82 vs. 63 points) but independent of fracture type. The preoperative ASA score, the Charlson comorbidity index, and the patient age were determined to be decisive for 3-year mortality. This case series displayed a high absolute mortality even if the rate was slightly lower compared to previously publi...Continue Reading

References

May 1, 1982·The American Journal of Sports Medicine·J Lysholm, J Gillquist
Oct 1, 1995·The Journal of Bone and Joint Surgery. American Volume·J D ZuckermanV H Frankel
Jan 1, 1993·The Journal of Bone and Joint Surgery. American Volume·W L HealyS J Incavo
Apr 10, 1999·The Orthopedic Clinics of North America·D J Berry
Apr 10, 1999·The Orthopedic Clinics of North America·C H Rorabeck, J W Taylor
Apr 10, 1999·The Orthopedic Clinics of North America·C H Rorabeck, J W Taylor
Feb 3, 2004·The Journal of the American Academy of Orthopaedic Surgeons·Edward T SuPaul E Di Cesare
Aug 25, 2007·The Journal of Arthroplasty·David BacksteinAllan Gross
Apr 2, 2010·The Journal of Bone and Joint Surgery. British Volume·P N StreubelW M Ricci
Sep 11, 2010·Clinical Orthopaedics and Related Research·Philipp N StreubelMichael J Gardner
Nov 26, 2010·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·T RothM Blauth
Nov 26, 2010·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·C KammerlanderM Blauth
Dec 15, 2015·PloS One·Jürgen Stausberg, Stefan Hagn
Jan 23, 2016·Orthopaedic Surgery·Nabil A EbraheimJiayong Liu
Aug 10, 2016·Archives of Orthopaedic and Trauma Surgery·M GoschC Kammerlander
Nov 28, 2017·BMC Musculoskeletal Disorders·Johannes K M FaklerDirk Zajonz
Jan 18, 2018·Zeitschrift für Orthopädie und Unfallchirurgie·Anna Janine SchreinerBjörn Gunnar Ochs
Feb 21, 2018·Journal of Orthopaedic Trauma·Philip MyersTimothy G Weber
Jun 6, 2018·The Journal of Bone and Joint Surgery. American Volume·Christian KammerlanderCarl Neuerburg

❮ Previous
Next ❯

Software Mentioned

SPSS
Excel

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.